Ticket for Outdoor Patient
| Ward No. 8 | U-PHC No. | Registration No. 03683 | Date 06/01/2020 |
| Token No | SM/19-20/8245 06/01/2020 | Serial | 014 |
| Patient Name | Mr. DHIMAN MAKAL | Contact No | 8925250025 |
| Address | PRAVAS NAGAR | Age | 36 Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | 57 KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||